Comparison of Bipolar vascular sealing and conventional back-table dissection in terms of post-renal transplant drainage and back-table preparation times

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dc.authoridÖzçelik, Ümit/0000-0003-1073-2494
dc.authorwosidsahin, taylan/IWD-9406-2023
dc.authorwosidÖzçelik, Ümit/AAG-8651-2021
dc.contributor.authorEren, E.
dc.contributor.authorTokac, M.
dc.contributor.authorOzcelik, U.
dc.contributor.authorSahin, T.
dc.contributor.authorTellioglu, G.
dc.contributor.authorPeksen, C.
dc.contributor.authorDinckan, A.
dc.date.accessioned2024-05-19T14:39:27Z
dc.date.available2024-05-19T14:39:27Z
dc.date.issued2023
dc.departmentİstinye Üniversitesien_US
dc.description.abstract- OBJECTIVE: The usage of ves-sel sealing devices has been gaining popularity in all surgical specialties. Post-renal transplant drain placement is a common practice among transplant surgeons. However, prolonged drain-age accompanied by surgical wound complica-tions and perirenal fluid collections is a frequent complication experienced by the recipients. This study aimed to compare Bipolar vascular seal-ing with conventional back-table dissection in terms of post-renal transplant drainage dura-tion, amount, surgical wound complication, and back-table preparation time. PATIENTS AND METHODS: A double-blind clinical study randomizes recipients into 2 groups, using Bipolar vascular sealing (Group 1) and conventional ligation (Group 2) back -ta-ble dissection. Variables such as recipient age, gender, body mass index (BMI), cause of end -stage renal disease, amount and duration of sur-gical drainage, back-table time, and cold isch-emia time (CIT) were collected prospectively. RESULTS: Ninety-eight consecutive living do-nor (M/F: 69/29) renal transplant recipients were enrolled in this prospective randomized clini-cal trial. There were 49 patients in each group. The mean BMI was 26.76 & PLUSMN;4.57. There was no difference among the groups regarding recipi-ent age, BMI, total drainage, and surgical drain-age duration. The surgical site infection rate was not different between the two groups. Group 1 had significantly shorter back-table time, with mean back-table time being 15.26 & PLUSMN;2.51 minutes in Group 1 and 28.83 & PLUSMN;6.27 minutes in Group 2 (p<0.001). The CIT was also significantly differ-ent between the 2 groups (p<0.001). In Group 1, the recorded CIT was 43.3 & PLUSMN;11.4, and in Group 2, 57.1 & PLUSMN;13.3 minutes. CONCLUSIONS: The use of Bipolar vascular sealing to seal lymphatic vessels at the back -ta-ble is feasible, safe, and easy to perform. It also expedites the dissection and shortens the time required for back-table graft preparation.en_US
dc.identifier.endpage6228en_US
dc.identifier.issn1128-3602
dc.identifier.issue13en_US
dc.identifier.pmid37458629en_US
dc.identifier.scopus2-s2.0-85164994149en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage6223en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12713/4783
dc.identifier.volume27en_US
dc.identifier.wosWOS:001045871100033en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherVerduci Publisheren_US
dc.relation.ispartofEuropean Review For Medical and Pharmacological Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240519_kaen_US
dc.subjectBipolar Vascular Sealingen_US
dc.subjectBack-Table Preparationen_US
dc.subjectLiv-Ing Donor Kidney Transplanten_US
dc.subjectDrainen_US
dc.subjectCollectionen_US
dc.titleComparison of Bipolar vascular sealing and conventional back-table dissection in terms of post-renal transplant drainage and back-table preparation timesen_US
dc.typeArticleen_US

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